29AUG2019 TICAD7Ageing matters• Africa expected to see 4-fold increase in its older population by 2050
• Older persons contribute greatly to the wellbeing of their households- 40% of people living with HIV are cared for by older people, with each older
carer supporting an average of two people living with HIV• Older people make a significant – and severely underestimated - economic
contribution- 41% of older people in Africa are active in the labour force

Experience of the Old in a Continentof Young…and Ageing
Prafulla Mishra, Ph. D- Majority of older workers are in the informal economy• ILO recognizes that older workers are “especially vulnerable to the most serious
decent work deficits in the informal economy”

Regional Director- Africa

TICAD VII Official Side Event [S067]
Towards Population Ageing in Africa• Specialized skills needed to cope with population ageing and also an opportunity(eg. skills and human resources necessary for Long Term Care needs)

HelpAge International• Need to recognise human rights of older people. Their capacities andvulnerabilities must be considered

29 August 2019/ Yokohama, Japan12Proportion living in absolute poverty byage group

Proportion reporting recent sickness
by age group – poor population

1840

12301247 47

67254360522765551269174663 61 63

12505257

3256

2060

21704080

20

100KENYA******p<0.001

TANZANIA***
0-1920-39

MALAWI***
40-59

ZAMBIA***KENYA***

60+

Source- APHRC

20-39

40-59

ZAMBIA***
60+

Source- APHRC

34

What Pensions Achieve

Social pensions in Africa

Introduction of social pensions in Africa:
1950: Mauritius
1979: Seychelles
1990s: Namibia | South Africa | Botswana
2000s: Lesotho | Swaziland | Cape Verde | Zambia(pilot) | Kenya (means-tested)
2011: Nigeria (pilot) | Uganda (pilot)
2016: Zanzibar (universal) | Uganda (expansion)
2018: Kenya (universal)
Other notable commitments:
Mozambique: new social security strategy – shift tocategorical targeting based on life course risks
National
schemes
Pilots or regional
schemes

5

MALAWI***
0-19***p<0.001

Malawi: Recent Presidential announcement that Malawi
would be working on a pension
Zimbabwe: Initiating a feasibility study

629AUG2019 TICAD7

Health Care and Older People

Link Between Social pensions and Access to Health Care••••AccessQuality

AwarenessData•78

Why an African Policy Maker is Unlikely tofocus on Older People
I need to focus on economic
growth and investing on youth
gives me that!
They are not the biggest
population group thatneeds focus

Health is free for all in
my country- OlderPeople are covered!

Most development
partners don’t talk about
Older Person’s Issues

911

Older people face significant - and often prohibitive – financial barriers toaccessing health services, including transportation costs, paying for carer’s
support, fees required to receive treatment and the cost of medicine.
Such costs can prevent older people from following through the requiredreferral pathways and accessing regular treatment for chronic conditions
and pose a significant dilemma for older people as they weight their healthneeds against other competing household need.
Social protection can play an important role in removing some of thedemand-side barriers to healthcare for older people, particularly thoserelated to out-of-pocket expenses and transport costsHelpAge-led evaluations of the impacts of cash transfers or social pensions
on older people in Ethiopia, Mozambique, Tanzania, Zimbabwe, andMalawi consistently find that older people use transfers to pay fortransport to get to health facilities, consultation fees and treatment costs
and prescriptions
Older recipients of Malawi’s social cash transfer report both improved
health status and better access to health careOlder People are cared
for within communities
and families anyway

I mean well for olderpeople…but do they
add value?

Are there CSOs working
for older people?

Ageing in Africa - what can be done better

Where are they? I haven’t
met/ heard a group of older
people demanding onanything?

• Increasing understanding and capacity in ageing and rightsof older people – Policy makers and older people• Improving the availability of data and evidence• Donors, governments, UN and other institutions to increasefinancial allocation on ageing development• The national indicators to be fit for purpose and age
inclusive• Coordination and regular review of ageing and older people
frameworks at all levels• Sector and planning processes at all levels to makedeliberate efforts to include older people and report on theirprogress and challenges.
• Increase the visibility and participation of organisations ofolder people• Implementation of regional and international commitments
around older men and women’s rights

Not much information
on older people

We have a department thatis looking for older persons
issuesWe in Africa are notold like in otherregions of the world

10